Provider Demographics
NPI:1326316472
Name:SANCHEZ, ZACHARY (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 NAISMITH DR
Mailing Address - Street 2:ALLEN FIELDHOUSE
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66045-4069
Mailing Address - Country:US
Mailing Address - Phone:785-331-9524
Mailing Address - Fax:785-864-7483
Practice Address - Street 1:1651 NAISMITH DR
Practice Address - Street 2:ALLEN FIELDHOUSE
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66045-4069
Practice Address - Country:US
Practice Address - Phone:785-331-9524
Practice Address - Fax:785-864-7483
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-007742255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer